ArticleHealth science reports2026
Effects of Aquatic-Based vs Land-Based Closed Kinetic Chain Exercises on Pain, Functional Performance, Knee Proprioception, Muscle Strength, and Kinesiophobia in Women Aged 40-70 Years With Knee Osteoarthritis: A Randomized Controlled Trial.
Article in Health science reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background and Aims: Knee osteoarthritis (KOA) is a progressive degenerative disease causing pain, muscle weakness, and functional decline, particularly in postmenopausal women. While closed kinetic chain (CKC) exercises are effective for rehabilitation, the comparative efficacy of aquatic- versus land-based environments for these exercises remains poorly understood. This study compared the effects of aquatic- and land-based CKC exercises on pain, functional performance, knee proprioception, muscle strength, and kinesiophobia in women aged 40-70 years with KOA. Methods: Thirty women aged 40-70 years with knee osteoarthritis were randomly assigned to an aquatic CKC exercise group ( Results: Both groups showed significant within-group improvements in all measured variables ( Conclusion: Both aquatic- and land-based CKC exercises are equally effective in improving pain, functional capacity, and muscle strength in women with KOA. Clinicians can prescribe either environment based on patient preference, accessibility, and tolerance to weight-bearing, as both yield comparable clinical benefits.
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